Neo-glans reconstruction for penile cancer: Description of the primary technique using autologous testicular tunica vaginalis graft
Publication date: June 2018Source: Arab Journal of Urology, Volume 16, Issue 2Author(s): Peter Weibl, Christina Plank, Rudolf Hoelzel, Stefan Hacker, Mesut Remzi, Wilhelm HuebnerAbstractPartial penectomy (glansectomy with/or without distal corporectomy) is an acceptable alternative for smaller distal pT3 penile carcinoma lesions in highly motivated and compliant patients. The authors describe a novel technique of neo-glans reconstruction using a tunica vaginalis (TV) testis allograft. However, due to an unclear resection margin on final histology, the patient underwent re-do surgery with a neo-glans revision using the well...
Source: Arab Journal of Urology - July 10, 2018 Category: Urology & Nephrology Source Type: research
Twin penile skin flap, is it the answer for repair of long anterior urethral strictures?
ConclusionsIn the presence of a favourable urethral plate and ample non-hirsute penile skin, one-stage twin penile skin flap urethroplasty provides excellent results for non-LS related complex strictures, with minimal acceptable complications. It proved to be especially efficient in circumcised patients. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 10, 2018 Category: Urology & Nephrology Source Type: research
Clitoroplasty: A variant of the technique by Acimi
ConclusionsThe sensitivity of the clitoral glans appeared to be normal in all cases, with a good cosmetic appearance of the external genitalia in most patients. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 10, 2018 Category: Urology & Nephrology Source Type: research
Comparing tamsulosin, silodosin versus silodosin plus tadalafil as medical expulsive therapy for lower ureteric stones: A randomised trial
ConclusionThe present study concludes that the combination of silodosin and tadalafil increases the ureteric stone expulsion rate and decreases the expulsion time significantly. This combination provided significantly better control of pain without any serious side-effects. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 10, 2018 Category: Urology & Nephrology Source Type: research
Influence of postnatal hydroureter in determining the need for voiding cystourethrogram in children with high-grade hydronephrosis
ConclusionLow-grade uncomplicated VUR was diagnosed in 3.5% of renal units without HU. Our results support limiting the use of VCUG to renal units with PH if associated with HU. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 10, 2018 Category: Urology & Nephrology Source Type: research
Uretero-arterial fistula due to a hypogastric aneurysm
We report a case of uretero-arterial fistula due to a hypogastric aneurysm. The patient underwent an endovascular treatment of the hypogastric aneurysm associated with a percutaneous nephrostomy. Most fistulae are not identified on computed tomography (CT) and a high degree of suspicion is needed. Presence of unexplained haematuria with CT diagnosis of hypogastric aneurysm should raise suspicions of uretero-arterial fistula as a possible cause. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 10, 2018 Category: Urology & Nephrology Source Type: research
War-related penile injuries in Libya: Single-institution experience
ConclusionIn patients who sustain war-related penile injuries the surgeon’s efforts should not only be directed to restoring normal voiding and erectile function but also on the cosmetic appearance of the penis. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 10, 2018 Category: Urology & Nephrology Source Type: research
Selective embolisation for intractable bladder haemorrhages: A systematic review of the literature
ConclusionSTE of the internal iliac artery is a safe and effective alternative technique to control severe IBH, and has been successfully applied over many years to treat bladder haemorrhage associated with terminal pelvic malignancy. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 10, 2018 Category: Urology & Nephrology Source Type: research
Simultaneous antegrade and retrograde endoscopic surgery for benign prostatic hyperplasia with vesical calculi – A single-centre experience
ConclusionSimultaneous percutaneous cystolithotripsy with TURP in patients with BPH with large bladder calculi is safe and feasible. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 10, 2018 Category: Urology & Nephrology Source Type: research
Is the 4.5-F ureteroscope (Ultra-Thin) an alternative in the management of ureteric and renal pelvic stones?
ConclusionsThe Ultra-Thin has a similar success rate as the 7.5–9.5F URS in the treatment of ureteric stones and is a feasible option in patients in whom a conventional URS cannot be advanced through any segment of the ureter. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 10, 2018 Category: Urology & Nephrology Source Type: research
The use of a string with a stent for self-removal following ureteroscopy: A safe practice to remain
ConclusionsThe use of a stent with a string after URS appears safe and effective. Few patients had difficulty removing their stents and complication rates were similar in the groups with and without a string attached to their stents. Single- and double-arm-stringed stents have similar complication rates. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 10, 2018 Category: Urology & Nephrology Source Type: research
Contemporary use of ultrasonic versus standard electrosurgical dissection in laparoscopic nephrectomy: Safety, efficacy and cost
ConclusionsES is a safe and feasible tool like USD in LN when used with caution. USD facilitates completion of difficult cases and reduces intraoperative blood loss. However, the majority of LNs can be completed safely with ES. ES is sturdy and cheap; therefore, selective use of USD appears to be the most cost-effective policy in the developing world. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 10, 2018 Category: Urology & Nephrology Source Type: research
Risk factors for the development of flank hernias and bulges following surgical flank approaches to the kidney in adults
ConclusionHigh BMI, the use of self-retaining retractor, not identifying or preserving the NVB, postoperative abdominal distention, en masse wound closure, surgical wound infection, and constipation are significant risk factors associated with postoperative flank hernia and bulge. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 10, 2018 Category: Urology & Nephrology Source Type: research
Thulium laser enucleation of the prostate (ThuLEP): Results, complications, and risk factors in 139 consecutive cases
ConclusionThuLEP is safe and reproducible. Whilst it significantly reduces intraoperative bleeding as compared to transurethral resection of the prostate, operating time and perioperative heparin prophylaxis may still lead to a Hb drop and constitute a risk factor for postoperative bleeding. Therefore, a potential risk of deep vein thrombosis requiring heparin prophylaxis should be carefully considered and balanced with the expected clinical benefit of the operation. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 10, 2018 Category: Urology & Nephrology Source Type: research
Laparoscopic and hand-assisted laparoscopic donor nephrectomy: A systematic review and meta-analysis
ConclusionThere is little statistical evidence to recommend one technique. HALDN is associated with a shorter WIT and OT. LDN has equal safety to HALDN. Further studies are required. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 10, 2018 Category: Urology & Nephrology Source Type: research
